Wang, Jun Fang
Wang, Jun Fang is an individual health care provider with primary practice located at 120 E Broadway 4 Fl, New York NY 10002-6374. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wang, Jun Fang can be contacted via phone (212) 233-8848.Contact Information
Primary practice address
120 E Broadway 4 Fl
New York NY 10002-6374
Phone: (212) 233-8848
Fax: (212) 233-8876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 045730 | New York |
Profile Details
| NPI number | 1538143631 |
|---|---|
| LBN Legal business name | Wang, Jun Fang |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538143631 | NPPES |
| New York | MEDICAID | 02162701 |
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